主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (7): 1082-1086.doi: 10.3969/j.issn.1672-1756.2020.07.025

• 护理质量 • 上一篇    下一篇

基于全程风险管理的数字化防控体系在静脉血栓护理质量管理中的应用研究

王莉萍 林根芳 戴雅琴 张丽丽 陈肖敏   

  1. 浙江省人民医院(杭州医学院附属人民医院)泌尿外科,310014 杭州市(王莉萍,林根芳,张丽丽);肿瘤内科(戴雅琴);护理部(陈肖敏)
  • 出版日期:2020-07-15 发布日期:2020-07-15
  • 通讯作者: 陈肖敏,本科,主任护师,教授,护理部主任,E-mail:wengwangliping@163.com
  • 作者简介:王莉萍,本科,主管护师,护士长
  • 基金资助:
    浙江省医药卫生科技计划项目(2020KY440)

Application of the digital risk prevention and control system based on full risk management in the care of Venous Thrombosis

WANG Liping, LIN Genfang, DAI Yaqin, ZHANG Lili, CHEN Xiaomin   

  1. Department of Urology and Neurosurgery, Zhejiang Provincial People's Hospital, Hangzhou, 310014, China
  • Online:2020-07-15 Published:2020-07-15
  • Contact: E-mail:wengwangliping@163.com

摘要: 目的:研究基于全程风险管理的数字化防控体系在静脉血栓栓塞症(Venous Thromboembolism,VTE)护理质量管理中的应用效果。方法:依托护理信息化平台,设计基于全程风险管理的VTE数字化防控体系并应用于VTE护理质量管理过程中。采用运行前后对比研究方法,选取2017年10月至2018年8月从护理管理系统收集的数据作为运行前的基础数据,2019年1—11月收集的数据作为运行后的数据。观察运行前后VTE风险评估及时率、VTE评估准确率、VTE预防措施执行率、VTE预防健康知晓率方面的差异。同时监测运行前后11个月VTE发生率护理敏感指标监测统计并比较两组差异。结果:运行基于全程风险管理的数字化防控体系进行静脉血栓护理质量管理后,VTE风险评估及时率、VTE评估准确率、VTE预防措施执行率、VTE预防知识知晓率均有提升,差异均有统计学意义(P<0.05)。运行后VTE发生率为0.05%,明显低于运行前的0.25%,差异有统计学意义(P<0.05)。结论:基于全程风险管理的数字化防控体系应用于VTE护理质量管理中,能优化VTE防控管理水平,明显提升VTE护理过程质量,降低VTE发生率,值得临床推广。

关键词: 静脉血栓栓塞症;数字化;防控体系;风险管理;护理质量

Abstract: Objective: To explore the effect of digital prevention and control system based on full risk management in the care of Venous Thrombosis (VTE). Methods: A digital prevention and control system based on full risk management of venous thrombosis was established relying on the nursing information platform by our hospital and was applied to clinical practice. Data randomly collected by the nursing management system from October 2017 to August 2018 as the baseline data before the application of the digital system was compared with the data acquired after the application from January to November of 2019. Differences in the timeliness of VTE risk assessment before and after applying the digital system, the accuracy of VTE assessment, the execution rate of VTE preventive measures, and the awareness rate of VTE prevention were compared. At the same time, the nursing sensitive indicators of VTE incidence 11 months before and after the application of the digital system were monitored and compared. Results: After the employment of the digital prevention and control system based on full risk management in the care of VTE, the timely rate, accuracy of VTE risk assessment, the execution rate of VTE preventive measures and the awareness rate of VTE prevention were significantly improved with statistically significant differences (P<0.05). The nursing sensitive indicators of VTE incidence after application was 0.05% lower than the baseline value of 0.25%, and the difference was statistically significant (P<0.05). Conclusion: The digital prevention and control system based on full risk management has been applied to the care of VTE, which can optimize the management of VTE prevention and control to obviously improve the quality of VTE nursing, reduce the incidence of VTE, and thus deserve further clinical promotion.

Key words: Venous Thromboembolism; digitalization; prevention and control system; risk management; quality of care

中图分类号: 

  • R47